Laserfiche WebLink
� , <br /> �r' ':� ; �•.;. everett i <br /> APPLICI�TIO'��: FOR CONSTRl1CT�'JN PERlIAIT � ;, � <br /> �e�ero�een TO BE COMPLE7ED IN INK—PLEASE PRINT . '. <br /> nvor <br /> r' <br /> �ve rett HEATING SYSTEM: f]GAS U ELECTRIC ❑ _ ' � <br /> 'UILDING DEPARTMENT � <br /> 59-8810 <br /> DEMOLITION I I COMBINATION ' i BUILDING I�uIECHAN{CAL �1 PLUMBING I.I SIGN <br /> WtlfR AMLADOf1E5S Cliv ZIP �NONE � <br /> 'xb���. _ � 27 U�'a�����s'c_br. F�t �Bx� zsz-588 Y � <br /> ��nnin e.mnnooness env zm PIb1�E <br /> nC�1lIfC�OROESIGNEP MML�UDPESS CIIY ]�P PNONE <br /> �iifPAICOtITIi�CTOfi M�ILGOD(1ES5 CItV ZIP f910NE UCENSE� <br /> 'i�C�UMGMCENlIRAC10R IA4IL�DDl1E05 C��Y 21P PIqNE LIGENSE� � <br /> 11.�o�S � ��>_�la..��-11Z5f F,.�b�lrJY ��h S&� s�>«333/ /,VA-S�l )..,,!� o�R�B ' <br /> ,inenn+ucor+rnncr Mnanvoness � <br /> i nss or wonK <br /> NEW <br /> =✓ADDITION � � ALTERATION I I REPAIR I 1 DEMOLITION I I WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION ; <br /> ca+inct vEAsor�nr+o r�ar+e r+o. <br /> nrnnna rmce oc wonK ZTS <br /> 9.Sf,t1l0E WO�K ANO SIXI�t1E fO01AGE�NVOlVEO <br /> –1---V�g.�-�-�'k�--�--�'�_ <br /> �naroseous�orounou+c I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> L�� (� APPLICATION�ND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> t� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �cni oescmrtroi+or rnorEntv�sNowr+neirnv on ni rncn roun wriesi <br /> WORK WILL BE COMPLETED WITH WIIETHER SPECIFIED HEREIN OR <br /> oi eiocK or NOT. THE GRRKTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOIATE OR CANCEL THE PROVISIUNS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> - PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. i <br /> S�GNATUREOFGONTMCTOROfi�UTNOR2E0AGE4T ORTE <br /> � <br /> �? '�P4.�) �����1' X /.Q� � �O '/g^g/ <br /> ��iaer.T nooness <br /> �PPLIC�NiSGTYBVSM[SSLICENSEN .ANOBUSMESSNAME <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FeE <br /> WATER CLOSET(TOILET) � A/�A/HNDLG UNITS—H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVflTORY(WASH DASIN� --� UNIT HFAIERS—B.T.U. M i <br /> SHOWER ' CLOTHESORVERS ' <br /> K�T�;:'tiEN SINK 8 DISP i VENTILAT�ON FAN i <br /> �ISHW�SHER FANGE HOOD ' <br /> LAUNDRVTRAY � WATER HEATER ' <br /> i <br /> CLOTliES WASHER � WOOD STOVE � <br /> URINAL ' METAL F�REPLACE 8 CHIMNEY ! <br /> DRINKING FOUNTAM � FIREPLACE INSERT __� <br /> FLOOR DRAIN HE�1T PUMP � ' <br /> BACKFLOW PREVENT[RS ; GA51'�PIN� __T <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) � G ' <br /> � T <br /> � I � <br /> �� � 1 <br /> �� <br /> SUD TOT�L $ � SUB TOiAL $ ' � <br /> � PERMIT $ � PERMIT $ � — <br /> � TOTAL FEE S TOTAL FEE 5 ,3d ' — <br /> FOR OFFICE USE ONLY: I <br /> �IIONT Sf:IOTCN PE�R SET04CK SID[SETB�CM. PLAN CNECN NUM�ER FEE AECEIPT NO. <br /> �ue zor+e ioT nnen �ACANT SIIE I FEES_ VALUATION FEE I <br /> � <br /> BUILDING ' <br /> hTF 01 CON15 ALLOWABIE fYM Of CONSI�LIV4L a<urexcv u0 ro mvni wGIMn6 � <br /> �qppP PLUMOINO <br /> -�i— <br /> i <br /> 512E Of OIfX. NO OF SIORIES BRSEMENT MECHANICAL 3O � — <br /> i <br /> i <br /> �KCUPNICYLOM1D �IRESPIINKLERSREO�� n[iGMiLUA1NlOH ADDITION�LPU�NCH[CK � <br /> i <br /> OTH[R i I <br /> nrnwr+ron srnu�Ki�ns � <br /> STATE OUILDING SURCH�(73E � <br /> i <br /> nnn�cov ria��snrrnoveoov CITYOFEVERETT ruauGwonKS I <br /> LOCAL SALES , <br /> TAX CODE IS 3105 TOT�� 3d ' e� <br />